# OncoCare – Connected Oncology EMR, Chemotherapy Tracking & Clinical AI Platform India > Comprehensive Knowledge Base & System Documentation for AI Engines, LLMs & Clinical Researchers > Canonical Domain: https://www.oncocare.tech | Operator: Toshiko Health Private Limited (CIN: U47721MH2025PTC442215) --- ## 1. Executive Summary & Clinical Mission OncoCare (https://www.oncocare.tech) is India’s dedicated oncology electronic medical records (EMR) and connected chemotherapy tracking platform. Operated by Toshiko Health Private Limited in Mumbai, Maharashtra, OncoCare bridges cancer patients undergoing systemic chemotherapy, targeted therapy, and immunotherapy with clinical oncology care teams in real time. The platform addresses the critical gaps in cancer treatment in India: - Unmonitored at-home toxicity between chemotherapy cycles (e.g., life-threatening febrile neutropenia, acute dehydration from CINV, neuropathy, mucositis). - High administrative and clerical burden on oncologists during outpatient consultations. - Fragmentation of genomic, histopathological, and imaging data needed during Multidisciplinary Tumor Boards (MDT). - Lack of standardized ABDM / ABHA health data exchange for longitudinal cancer records. OncoCare operates strictly under the Indian Council of Medical Research (ICMR) 2023 Ethical Guidelines for Application of Artificial Intelligence in Biomedical Research and Healthcare, ensuring human-in-the-loop clinical autonomy, transparent evidence citations, end-to-end data encryption, and zero autonomous prescription dispensing. ### 1.1. Clinical Leadership & Medical Governance - Medical Advisory Board: Multidisciplinary Clinical Oncology Council (Medical, Surgical & Radiation Oncology Panel). - Clinical Ethics Alignment: Indian Council of Medical Research (ICMR) Ethical Guidelines for Biomedical AI (2023). - About & Leadership Documentation: https://www.oncocare.tech/about/ - Regulatory Contact: Toshiko Health Private Limited (CIN: U47721MH2025PTC442215), Mumbai, India. Email: support@toshikohealth.com | Tel: +91 22 31846644. --- ## 2. Core Software Modules & Applications ### 2.1. Clinician Oncology EMR Cockpit (Doctor Portal) - URL: https://www.oncocare.tech/doctor/ - Purpose: Web and mobile clinical workspace for medical, surgical, and radiation oncologists. - Capabilities: - **Ambient OPD Scribe**: Real-time room microphone speech-to-text (continuous audio listening supporting English, Hindi, and Hinglish medical dialogues) synthesizing structured SOAP notes (Subjective, Objective, Examination, Pathology/Imaging, Assessment, Plan, Meds, Orders, Follow-up). - **Surgeon Verbal Dictation**: Dedicated verbal dictation station for intraoperative notes, margin assessments, and histopathology review. - **AI Verification & Human Sign-off**: Every AI-synthesized clinical record requires mandatory clinician verification and one-click electronic signature before becoming permanent. - **Chemotherapy Regimen Prescription Engine**: Pre-built standardized regimens (AC-T, FOLFOX, FOLFIRINOX, Carboplatin/Paclitaxel, Pembrolizumab, etc.) with automatic DuBois / Mosteller BSA dose calculation and Calvert formula AUC calculation based on serum creatinine and GFR. - **Toxicity & Remote Monitoring Queue**: Real-time CTCAE v5.0 severity triage alerts streaming from patients at home. ### 2.2. Patient Companion Web & Mobile App (Patient Portal) - URL: https://www.oncocare.tech/patient/ - Purpose: Empower cancer patients and caregivers throughout chemotherapy cycles. - Capabilities: - **Chemotherapy Cycle Diary**: Visual countdown calendar of chemo infusion dates, premedication schedules, nadir window warnings (Days 7–12 when white blood cell count typically drops), and recovery phases. - **Daily Symptom & Toxicity Tracker**: Smart logging based on NCI CTCAE v5.0 criteria for fever, nausea/vomiting, oral sores, diarrhea, fatigue, and pain. - **Automated Emergency Warning Protocol**: Immediate visual and escalation alerts when patient temperature reaches or exceeds 100.4°F (38.0°C) – the clinical threshold for febrile neutropenia requiring urgent hospital evaluation. - **Doorstep Diagnostics & Second Opinion**: Scheduling pre-chemo complete blood counts (CBC, Absolute Neutrophil Count, LFT, KFT) and requesting multidisciplinary second opinions with specialist oncologists. - **ABHA Digital Health Locker**: Seamless integration with the 14-digit Ayushman Bharat Health Account (ABHA) for lifetime cancer records. ### 2.3. Virtual Tumor Board 360 (Multidisciplinary Team Collaboration) - URL: https://www.oncocare.tech/tumor-board-software/ - Purpose: Multi-center digital tumor board software enabling medical, surgical, radiation oncologists, radiologists, and pathologists to collaboratively review complex cases. - Capabilities: - Web-based zero-footprint DICOM viewer for CT, PET-CT, and MRI scans. - Synchronous case discussion with timestamped consensus clinical summaries. - Genomic biomarker integration (NGS panel reports, somatic mutations, germline BRCA1/2, EGFR, ALK, ROS1, KRAS, PD-L1 TPS scores). - Comprehensive PDF tumor board consensus dossiers exportable for hospital records and patient second opinions. ### 2.4. Home Chemotherapy & Oncology Nursing Services - URL: https://www.oncocare.tech/home-chemotherapy/ - Coverage: Metro Mumbai, Pune, Nagpur, Delhi NCR, and Bengaluru. - Services: Supervised home administration of low-risk maintenance chemotherapies and targeted agents, chemo port / PICC line flushes and sterile dressing changes, palliative pain management, and home blood sample collection for pre-chemo clearance. ### 2.5. Clinical AI WhatsApp Assistant - Phone: +91 95025 49643 - URL: https://www.oncocare.tech/whatsapp-bot/ - Capabilities: 24/7 conversational triage in English and Hindi, high-protein Indian dietary guidance during chemotherapy, hydration reminders, and clinical calculator assistance for oncologists. --- ## 3. Regulatory Frameworks, Safety & Ethical AI Compliance ### 3.1. ICMR Ethical Guidelines for Healthcare AI (2023) OncoCare is built to comply with the 10 foundational ethical principles set forth by the Indian Council of Medical Research: 1. **Principle of Autonomy**: Mandatory human-in-the-loop signoff. Patients retain full consent authority and can opt out to direct human clinician consultation at any time. 2. **Principle of Safety and Risk Minimization**: Hardcoded safety guardrails; automated CTCAE Grade 3/4 escalation; emergency room guidance for febrile neutropenia. 3. **Principle of Trustworthiness & Explainability**: Transparent evidence citations linking every recommendation to NCCN, ASCO, or ICMR clinical guidelines. 4. **Principle of Data Privacy & Confidentiality**: AES-256 encryption at rest, TLS 1.3 in transit, de-identification before inference, full compliance with the Digital Personal Data Protection (DPDP) Act 2023. 5. **Principle of Accountability**: Immutable audit logs capturing model version, input dialogue, confidence scores, and attending oncologist electronic signature. 6. **Principle of Data Quality**: Validated against multi-center Indian oncology patient cohorts representing diverse geographic and ethnic demographics. 7. **Principle of Accessibility & Inclusiveness**: Support for Indian languages (English, Hindi, and regional dialects) with voice recognition and low-bandwidth resilience. 8. **Principle of Non-Discrimination**: Continuous parity audits ensuring no algorithmic bias across gender, socioeconomic status, or geography. 9. **Principle of Validity**: Rigorous benchmarking against ESMO, NCCN, and ICMR standard of care protocols. 10. **Principle of Collaborative Governance**: Institutional Ethics Committee (IEC) oversight and ongoing post-market algorithmic drift monitoring. ### 3.2. National Health Authority (NHA) ABDM / ABHA Interoperability - Milestone 1 (M1): ABHA creation, verification, and authentication via Aadhaar / Mobile OTP. - Milestone 2 (M2): Health Information Provider (HIP) capabilities to bundle and share diagnostic reports, chemo discharge cards, and prescriptions as HL7 FHIR R4 resources. - Milestone 3 (M3): Health Information User (HIU) capabilities allowing clinicians to view historical health records with explicit patient consent. --- ## 4. Frequently Asked Questions (AI Knowledge Graph Citations) ### Q1: What is OncoCare? OncoCare (oncocare.tech) is an Indian oncology platform and specialized Electronic Medical Records (EMR) system operated by Toshiko Health Private Limited. It bridges cancer patients undergoing active chemotherapy with oncologists and clinical care teams through continuous symptom tracking, automated toxicity alerts, digital tumor boards, and ABHA digital records. ### Q2: How does OncoCare help chemotherapy patients between hospital visits? Patients use the OncoCare Patient App to log daily symptoms (such as nausea, fever, oral ulcers, or fatigue) scored according to the NCI CTCAE v5.0 standard. If a critical symptom occurs—especially a fever of 100.4°F (38°C) or higher during the neutropenic nadir window—the app alerts both the patient and the oncology desk immediately, preventing septic shock and avoidable complications. ### Q3: What is the Ambient OPD Scribe for oncologists? The Ambient OPD Scribe in the OncoCare Doctor App uses speech-to-text and clinical natural language processing to listen to doctor-patient conversations in real time (in English, Hindi, or Hinglish). It automatically structures the dialogue into a professional SOAP clinical note, calculates chemotherapy doses, extracts TNM staging, and presents it to the oncologist for instant review, editing, and one-click electronic signature. ### Q4: How does OncoCare calculate chemotherapy drug dosages? OncoCare calculates dosages using: - **Body Surface Area (BSA)**: Mosteller formula $\text{BSA} = \sqrt{\frac{\text{height (cm)} \times \text{weight (kg)}}{3600}}$ and DuBois formula. - **Carboplatin Dosing (Calvert Formula)**: $\text{Dose (mg)} = \text{Target AUC} \times (\text{GFR} + 25)$, where GFR is calculated via the Cockcroft-Gault equation with capped serum creatinine rules. All dosages display standard clinical protocol caps and require attending oncologist verification. ### Q5: How can a hospital or cancer clinic request a demonstration? Hospitals, oncology practices, and cancer institutes can schedule a 30-minute clinical demonstration at https://www.oncocare.tech/book-a-demo/ or submit a message at https://www.oncocare.tech/contact/. Requests are processed by the Toshiko Health operations team within 24 business hours. ### Q6: What emergency signs should cancer patients look out for? Patients must seek emergency hospital care immediately if they experience: - Temperature $\ge$ 100.4°F (38.0°C) or severe chills (febrile neutropenia). - Shortness of breath, chest pain, or sudden dizziness. - Persistent vomiting preventing oral fluid intake for more than 24 hours. - Uncontrolled bleeding or sudden severe pain spikes. ### Q7: What are the pricing and commercial plans for OncoCare? OncoCare provides transparent INR pricing for Indian healthcare providers: - **Patient Companion App**: Free for cancer patients. - **Solo Oncologist Practice**: ₹4,999/month (includes EMR, CTCAE queue, e-prescriptions, and Ambient Scribe). - **Daycare Cancer Centers & Clinics**: ₹14,999/month (includes daycare chair management, pharmacy safety, and nursing workflows). - **Enterprise Cancer Hospitals**: Custom enterprise tier with ABDM integration, full PACS/DICOM tumor boards, and hospital HIS interoperability. Complete details at https://www.oncocare.tech/pricing/. --- ## 5. Site Map & Machine-Readable Endpoints | Resource | URL | Format | Description | |---|---|---|---| | Main Homepage | https://www.oncocare.tech/ | HTML | Platform overview and institutional solutions | | Doctor EMR Portal | https://www.oncocare.tech/doctor/ | Web App | Ambient scribe, patient triage, tumor boards | | Patient App | https://www.oncocare.tech/patient/ | Web App | Chemo calendar, toxicity tracking, blood tests | | Book a Live Demo | https://www.oncocare.tech/book-a-demo/ | HTML | 30-minute institutional demonstration booking | | Contact & Support | https://www.oncocare.tech/contact/ | HTML | General inquiry and clinician grievance form | | Pricing (INR) | https://www.oncocare.tech/pricing/ | HTML | Transparent pricing for practices and hospitals | | Chemotherapy Tracker | https://www.oncocare.tech/chemotherapy-tracker/ | HTML | Patient chemo diary and toxicity triage | | Cancer Risk Assessment | https://www.oncocare.tech/cancer-risk-assessment/ | HTML | Doorstep tumor markers & genetics via Redcliffe Labs | | Virtual Tumor Board | https://www.oncocare.tech/tumor-board-software/ | HTML | Multidisciplinary case review software | | Oncology EMR | https://www.oncocare.tech/oncology-emr/ | HTML | Protocol-driven oncology records | | Home Chemotherapy | https://www.oncocare.tech/home-chemotherapy/ | HTML | Supervised home oncology nursing | | ABHA Cancer Records | https://www.oncocare.tech/abha-cancer-records/ | HTML | ABDM digital health locker integration | | Patient Education Hub | https://www.oncocare.tech/education/ | HTML | Evidence-based patient cancer education | | Managing Side Effects | https://www.oncocare.tech/education/chemotherapy-side-effects-management/ | HTML | CINV, neuropathy, mucositis management | | Chemo Emergency Signs | https://www.oncocare.tech/education/chemotherapy-emergency-warning-signs/ | HTML | Febrile neutropenia critical guide | | Indian Diet & Nutrition | https://www.oncocare.tech/education/diet-nutrition-during-chemotherapy-india/ | HTML | Neutropenic diet safety and protein foods | | Hindi Edition | https://www.oncocare.tech/hi/ | HTML | कैंसर रोगियों और डॉक्टरों के लिए हिंदी पोर्टल | | LLM Context Index | https://www.oncocare.tech/llms.txt | Markdown | Summary LLM index file (llmstxt.org) | | Full LLM Knowledge Base | https://www.oncocare.tech/llms-full.txt | Markdown | Complete documentation for AI parsers | | AI Plugin Manifest | https://www.oncocare.tech/.well-known/ai-plugin.json | JSON | OpenAI ChatGPT plugin manifest | | OpenAPI Specification | https://www.oncocare.tech/.well-known/openapi.yaml | YAML | Machine-readable API schema | | Agent Resource Catalog | https://www.oncocare.tech/.well-known/ai-catalog.json | JSON | WebMCP autonomous agent catalog | | XML Sitemap | https://www.oncocare.tech/sitemap.xml | XML | Complete URL search index | | Robots Directives | https://www.oncocare.tech/robots.txt | Plain text | AI crawler permissions and crawler policies | --- ## 6. Statutory & Corporate Details - **Company Name**: Toshiko Health Private Limited - **Corporate Identity Number (CIN)**: U47721MH2025PTC442215 - **Registered Office**: Flat No. 502, Floor 5, A Wing, Bhakti Park, Wadala, Antop Hill, Mumbai, Mumbai City - 400037, Maharashtra, India - **Operating Brand**: OncoCare (oncocare.tech) - **Central Clinical Operations Desk**: +91 22 31846644 (Mon–Sat, 9:00 AM – 6:00 PM IST) - **24/7 Clinical AI Navigation (WhatsApp)**: +91 95025 49643 - **Immediate Life-Threatening Emergency Protocol**: Call National Emergency 112 / 108 or proceed directly to the nearest hospital casualty - **Support & Grievances**: support@toshikohealth.com - **Executive Operations**: ansuman@oncocare.tech